Viagros (Sildenafil)

What is Viagros (Sildenafil)?

Viagros is the most well-known and popular medication for treating the inability of the penis to harden under sexual stimulation. Sildenafil Citrate is the active ingredient of Viagros. Its strong effect on treating erectile dysfunction (ED) is recognized and approved. Initially, Sildenafil was researched as a remedy for angina pectoris. This condition is characterized by chest pain due to inadequate blood flow to the heart. However, during clinical trials, its notable impact on the ability of the penis to erect was discovered. This effect allowed the scientific community to approve the component as an effective treatment for penile erectile dysfunction. Nowadays, the ingredient is widely used as an active component in a series of medications, such as Viagra and Kamagra.

The mechanism of Viagros’s functioning is the following: it improves the ability of the penis to erect by increasing the blood flow to it during sexual arousal. Manufacturers produce it in different forms, with pills being the most popular form due to their convenience of use. Thus, companies can satisfy the demands of all consumers.

Besides ED, the ingredient shows effectiveness in treating pulmonary arterial hypertension (PAH). Its benefit for this diagnosis is clinically approved. The component is capable of expanding blood vessels, which helps reduce the resistance of pulmonary vasculature. This action improves exercise capacity and slows down the disease’s progression. Currently, new research is investigating the potential effect of the ingredient on other medical conditions, suggesting a wide range of therapeutic uses.

Benefits

Erectile Dysfunction Treatment 

First of all, Viagros comes as a potency enhancer. Being a powerful weapon in the fight against erectile dysfunction, the component improves male sexual health. Millions of men around the globe suffer from the inability to respond to sexual stimulation, which affects their libido, quality of life, and psychological well-being. By ensuring a natural erectile response to sexual stimulation, Viagros enhances sexual performance and satisfaction. This effect was approved by millions of men who used this potency pill.

Mean (±SE) Scores for Domains of the International Index of Erectile Function for Men who consumed Sildenafil or Placebo in the Dose-Escalation Study at Base Line and at the End of the 12-Week Study by Intention-to-Treat Analysis.

Treatment of Pulmonary Arterial Hypertension 

Viagros is also effective in curing PAH. This condition features high blood pressure in the pulmonary arteries. Sildenafil helps lower the pressure by acting on pulmonary blood vessels and relaxing them. Besides, the disease progression is slowed down and physical training capacity is improved.

Mean Changes from Baseline, with 95 Percent Confidence Intervals, in the Six-Minute Walking Distance at Week 12 in the Placebo and Sildenafil Groups.

Cardiovascular Benefits 

More and more evidence of Sildenafil efficacy for cardiovascular issues appears. Numerous studies approved that the component has a protective effect on the cardiovascular system. The ingredient shows its efficacy in reducing a sharp change in oxidative processes under conditions of insufficient functioning of the antioxidant system. Besides, it improves the regulation of capillary blood flow, carried out through the dynamic change of phases of vascular constriction and expansion. Finally, the medication enhances the method of supplying and passing blood and biologically active substances through the vascular system of organs and tissues of the body.

On the graph, you can see mean maximum decreases in supine systolic (A) and diastolic (B) blood pressures over time induced. Changes in pressure are caused by escalating Sildenafil doses. in healthy middle-aged volunteers (n = 16 per group). Values represent mean standard deviation. 

Improvement in Exercise Capacity

Another benefit of the ingredient includes its ability to boost exercise capacity significantly. This advantage is determined by its ability to improve blood circulation through vessels and enhance oxygen delivery to muscles. An enhanced movement of blood in a closed system, caused by the difference in pressure in different parts of the vascular bed, contributes to more efficient physical performance and reduced fatigue. Notable improvements in exercise tolerance caused by the drug are beneficial for sports enthusiasts.

Mean Changes from Baseline, with 95 Percent Confidence Intervals, in the Six-Minute Walking Distance at Week 12 in the Placebo and Sildenafil Groups.

Mechanism of Action

To cause its beneficial effect on the body, Sildenafil overcomes a complex biochemical pathway. The suppression of the enzyme phosphodiesterase type 5 (PDE5) comes as an important part of this process. Besides problems with potency, the drug solves other issues that enhance men's health.

Normal Erection Physiology

Hardening the male penis under sexual arousal is a complex neurovascular process that consists of neural, psychological, hormonal, and vascular factors:

1. Sexual stimulation. The process starts with tactile and visual contact that triggers the release of neurotransmitters from nerve endings in the penile tissue.
2. Nitric oxide release. Nerve endings are located in the corpus cavernosum. These neurotransmitters affect them and stimulate the release of nitric oxide (NO).
3. Activation of guanylate cyclase. NO penetrates smooth muscle cells of the penis and activates the enzyme guanylate cyclase.
4. cGMP production. Under the action of guanylate cyclase, the process of converting guanosine triphosphate (GTP) to cyclic guanosine monophosphate (cGMP) is accelerated. The latter comes as a vital signaling molecule for the body.
5. Smooth muscle relaxation. cGMP causes the relaxation of smooth muscles in the penis, reducing an intracellular level of calcium. This effect results in dilating blood vessels, which eventually allows for increasing blood flow into the male’s organ.
6. Erection. The corpora cavernosa is filled with blood due to enhanced circulation, which makes the penis harden and expand its size. Since veins are pressed, blood cannot leave the organ, which allows for maintaining the erection.

Role of PDE5

An enzyme called phosphodiesterase type 5 (PDE5) is present in pulmonary vessels and the smooth muscle cells of the corpus cavernosum. Its main task is to decompose cGMP into 5’-GMP. This action leads to the termination of the signal for penis smooth muscle relaxation. As a result, blood flow is reduced, which causes penis weakening. Sildenafil has a therapeutic effect and impacts PDE5 selectively, which allows for increasing treatment efficiency. The medication’s mechanism of action includes the following phases:

1. Connection with PDE5. When the ingredient penetrates the body, it heads to PDE5. When they are bound, Sildenafil acts selectively, preventing PDE5 from interacting with and degrading cGMP.
2. Longer durability of cGMP Action. Since the medication suppresses the action of PDE5, the level of cGMP remains elevated for a longer period, sustaining smooth muscle cell relaxation.
3. Increased Vasodilation. Keeping smooth muscles relaxed prolongs vessel enlarging, allowing more blood to enter the penile tissue.
4. Prolonged Erection. Stable and sufficient blood flow to the male’s sexual organ ensures its longer maintenance of a hardening condition.

Benefits for Pulmonary and Systemic Circulation

Although the ingredient is mainly used for potency treatment, it can still affect the pulmonary vasculature due to its effect on PDE5. The following benefits are observed:

1. Relaxation of pulmonary vessels. By suppressing PDE5 activity, the component relaxes pulmonary vessels, which leads to their enlarging and improving bandwidth. This action allows for reducing pulmonary vascular pressure and resistance, which is favorable for such conditions as PAH.
2. Systemic circulation. By acting on systemic vessels, the drug can cause a mild reduction in systemic blood pressure. While this effect is rather modest, it can become significant if patients have cardiovascular conditions.

Molecular Specificity and Selectivity

Different types (isoforms) of PDE exist in our body. They differ in places of location and functions. While other medications do not feature selectivity and act on all types of PDE, Sildenafil acts specifically on PDE5, leaving other isoforms untouchable. This peculiarity guarantees high effectiveness and minimizes unwanted side effects related to non-target tissues.

Pharmacokinetics and Metabolism

The mechanism of action of the medication is highly affected by its absorption and metabolism:

1. Absorption. The drug features rapid absorption. Its peak concentration in plasma is reached within 30–120 minutes after administration if you take it on an empty stomach. Note that if you eat fatty meals, the process of ingredient absorption is delayed and reduces peak concentration.
2. Metabolism. Sildenafil metabolism occurs in the liver. Cytochrome P450 enzymes CYP3A4 and CYP2C9 take part in the process.
3. Elimination. The half-life of the ingredients lasts for about 4 hours. Its excretion occurs in both the feces and urine. A predominant portion of the component (80%) is excreted in the fences, while just 13% of Sildenafil leaves the body in the urine.

Extended Mechanisms and Broader Benefits

Besides its primary impact on the male erectile function, the ingredient also affects muscles and vessels.

1. Improved endothelial function. Sildenafil improves the regulation of capillary blood flow, occurring through the dynamic change of phases of vascular constriction and expansion. This effect is achieved due to its ability to increase NO availability and the level of cGMP. This action helps reduce oxidative stress and maintain vascular integrity.
2. Improved training performance. The ability to improve blood circulation and promote a vasodilation effect allows the ingredient to enhance physical performance. This action postpones fatigue and improves endurance.
3. Possible muscle performance enhancement. The ability to improve blood circulation and oxygen delivery allows Sildenafil to be beneficial for bodybuilders and sports enthusiasts. These features enhance endurance, reduce fatigue, and accelerate recovery.

Uses

Enhanced Erectile Function

Viagros comes as an effective treatment for male enhancement potency. It helps regain libido and self-confidence. By suppressing PDE5, the medication improves blood circulation to the men’s sexual organs, which guarantees stable hardening over a long period. The effect is achieved under sexual stimulation and is approved by clinical studies.

Increased Blood Flow

The mechanism of action of Viagros implies affecting the blood flow and vasculature. By suppressing PDE5, the drug relaxes vessels, which improves blood circulation. Increased blood flow to smooth muscles helps achieve penis hardening and maintain a strong erection durable during sexual stimulation. 

Improved Endothelial Function

The medication is beneficial for vascular health since it also affects endothelial function. The endothelium is a thin cell layer lining the blood vessels. It regulates blood pressure and vascular tone. By improving endothelial function, the medication helps maintain healthy blood vessels, supports overall cardiovascular health, and reduces oxidative stress.

Enhanced Exercise Capacity

The ingredient lowers pulmonary vascular resistance and improves oxygen delivery to muscles, which allows for increasing exercise capacity during physical activity. This feature results in better physical performance and enhances endurance during training.

Muscle Performance Enhancement

Numerous research states that the drug boosts muscle performance, which is especially relevant for bodybuilders and athletes. Improved oxygen delivery and blood flow improve muscle endurance, reduce fatigue, and speed up recovery after exercises.

Dosage, Administration, and Precautions

Dosage

For most patients, it’s recommended to start taking Viagros 50 mg. Men should take it 1 hour before planned sexual activity. Further, it’s possible to either increase the dosage to 100 mg or reduce it to 25 mg. If you use the medication for PAH treatment, the dosage is 20 mg 3 times per day.

Administration

Viagos is taken orally with water, both with or without food. But, keep in mind that if you eat fatty meals while consuming the drug, it can influence the absorption and effectiveness of the drug significantly. To achieve the desired effect and ensure high results, it’s advisable to take the medication on an empty stomach or at least two hours after eating. Note that the component won’t work without sexual stimulation.

• First responders: dome men report achieving an erection as quickly as 12 minutes after taking Viagros.

• Average responders: most men feel the benefit of the drug in about 27 minutes.

• Maximum effect: the maximum concentration of the ingredient in the bloodstream is reached in about 57 minutes. This peak may be delayed by up to another hour if taken with food, as illustrated in the graph.

• Half-life: Sildenafil is metabolized and excreted from the bloodstream within 4 hours.

• Effectiveness window: there are men who can achieve an erection up to 10 hours after taking the drug, although its effectiveness decreases over time.

• Elimination: the medication is excreted from the bloodstream in 24 hours.

• Food impact: taking Viagros with a high-fat meal can delay its absorption, leading to a slower action and a lower peak plasma concentration. This is why it’s advisable to take the drug on an empty stomach or two hours after a meal to achieve the best results.

• Sexual stimulation: it’s important to note that sexual stimulation is required. The drug does not cause an erection without sexual arousal.

Dosage Adjustments

If the desired effect is not reached while taking 50 mg, it’s necessary to adjust the dosage.

Precautions

1. Cardiovascular diseases. Patients with cardiovascular conditions should use Viagros with caution and consult a physician before administration.
2. Mixing with alcohol. Men should avoid consuming alcohol together with or before taking Viagros, as alcohol can increase the risk of significant blood pressure drops and delay the drug’s absorption.
3. Nitrates and nitric oxide donors. It’s not recommended to use Viagros with such donors due to a high risk of severe hypotension.
4. Alpha-blockers. Blending the medication with these substances can cause symptomatic hypotension, so consumers should take caution.
5. Liver and kidney impairment. Patients with hepatic or renal impairment may require dose adjustments.

Side Effects

1. Headache. 16% of users report mild headaches.
2. Flushing. About 10% of users report this condition. It is characterized by a warm or red sensation in the face, neck, or chest.
3. Dyspepsia. Around 7% of users experience indigestion or stomach discomfort.
4. Nasal congestion. About 4% of users report this side effect.
5. Visual disturbances. About 3% of users report blurred vision, sensitivity to light, or a blue tinge to vision.
6. Priapism. It’s a prolonged and painful erection lasting more than 4 hours. In this case, it requires immediate medical attention to prevent permanent damage.
7. Sudden hearing loss. Rare cases of sudden hearing loss have been reported.
8. Myocardial infarction. Although rare, some users have experienced heart attacks. Particularly, patients with underlying cardiovascular risk factors are prone to this side effect.

Monitoring and Management

Patients who experience severe side effects or signs of an allergic reaction should seek immediate medical attention.

Storage

1. Store Viagros at room temperature between 20–25 °C (68–77 °F), in a tightly closed container away from moisture, heat, and direct light.
2. Keep it out of reach of children and pets.
3. Patients should check the expiration date and not use the medication beyond this date to ensure safety and efficacy.

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FAQ

How long does Sildenafil take to kick in?

The peak of activity may vary, depending on the way of administration. If it’s consumed on an empty stomach, the effect is felt within about 30 minutes. High-fat food can delay absorption, meaning that the effect will be postponed.

Does Sildenafil help you get hard?

Yes, it’s an active component that helps tackle problems with erection and enjoy penis hardening.

Does Sildenafil make you bigger?

Not really. The main effect is targeted at coping with erectile dysfunction. The component can improve endurance and physical performance as an extra benefit.

Can you drink alcohol while taking Sildenafil?

No, it’s recommended to avoid mixing alcohol with the ingredient.